Emini, ukugcotshwa koshukela e-serum kubantu kuyahlukahluka. I-pancreatic insulin hormone ilawula le nqubo.
Uma kunokungasebenzi kahle kwesitho, ukufundwa kweglucose kuqala ukukhuphuka kakhulu futhi nengozi yesifo sikashukela inyuka. Kuyenzeka ukuthi ushukela wokuzila uphezulu kakhulu kunangemva kokudla.
Ukuze ugweme imiphumela emibi, thatha izinyathelo ngesikhathi, udinga ukwazi ukuthi kungani lokhu kwenzeka, yini imvelo ye-glycemia esiswini esingenalutho nesigcwele.
Ukuzila ushukela wegazi nangemva kokudla
Amazinga we-Glycemia ngaphambi nangemva kokudla ukudla ahlukile. Odokotela bathuthukise amazinga afanelekayo kashukela we-serum kumuntu ophilile.
Ekuseni ngesisu esingenalutho, ushukela akufanele udlule ngaphezu kwe-3.5-5.5 mmol / l. Ngaphambi kokudla kwasemini, isidlo sakusihlwa, le paradeli inyuka iye ku-3.8-6.2 mmol / L.
Ihora ngemuva kokudla kwasekuseni, isibalo sikhuphukela ku-8,85, kuthi ngemuva kwamahora ambalwa sehle saya ku-6.65 mmol / L. Okuqukethwe ushukela ebusuku kufanele kube ku-3.93 mmol / L. Lezi zindlela ezingenhla zilungile ekufundweni kwe-plasma ethathwe emunwe.
Igazi leVenous libonisa amanani aphezulu. Izinga elamukelekayo le-glycemia ku-biomaterial etholakala emthanjeni libhekwa njenge-6.2 mmol / L
Kungani ushukela wegazi osheshayo uphakeme kunangemva kokudla?
Imvamisa ekuseni ngaphambi kokudla, ushukela uyancishiswa, kuthi ngemuva kokudla kwasekuseni. Kepha kwenzeka ukuthi konke kwenzeka ngenye indlela. Kunezizathu eziningi zokuthi ushukela we-glucose osheshayo uphezulu, futhi ngemuva kokudla kwehlela esimweni esejwayelekile.
Izici ezivame kakhulu ezibangela i-glycemia ephezulu ekuseni:
- isifo sokusa sokusa. Ngaphansi kwalesi simo kuqondwe ukwanda kwama-hormone aqeda ama-carbohydrate. Ngenxa yalokhu, ushukela we-serum uyakhuphuka. Ngokuhamba kwesikhathi, isimo sijwayelekile. Kodwa, uma i-syndrome ivela kaningi futhi iletha ukungakhululeki, khona-ke kusetshenziswa izidakamizwa zasekhemisi;
- i-somoji syndrome. Umongo waso ukuthi ebusuku kukhula i-hypoglycemia, umzimba izama ukuyiqeda ngokwandisa ukugcwala kweglucose. Imvamisa lesi simo sibangela indlala. I-Somoji syndrome iphinde icasulwe ngokuthatha umthamo omkhulu wezidakamizwa ezithinta amazinga kashukela;
- ukuthatha inani elinganele lezimali ezibenza ngokwejwayelekile ukusebenza kwamanyikwe. Bese kuba nokushoda kwezinto ezilawula izinqubo ezibalulekile emzimbeni;
- umkhuhlane. Ukuvikelwa kuyasebenza. Kukhululwa inani elithile le-glycogen. Lokhu kuholela ekwandeni kwe-glucose yokuzila;
- ukudla ama-carbohydrate amaningi ngaphambi kokulala. Kulokhu, umzimba awunaso isikhathi sokucubungula ushukela;
- izinguquko ze-hormonal. Kubonakala ngocansi oluhle ngesikhathi sokuya esikhathini.
Imvamisa, abesifazane bakhala ngokwanda ushukela ngesikhathi sokukhulelwa. Ngalesi sikhathi esinzima, umzimba uthola ukwakhiwa kabusha, umthwalo ezithweni zangaphakathi uyanda. Abesifazane abakhulelwe basengozini enkulu yokuba nesifo sikashukela sokukhulelwa, esidlula ngemuva kokubeletha.
Ushukela omkhulu ekuseni futhi ojwayelekile phakathi nosuku: izimbangela
Abanye abantu baphawula ukuthi ekuseni ukunakekelwa kwabo ushukela kuyakhuphuka, futhi phakathi nosuku akuhambi ngaphezu kwemingcele yeleveli eyamukelekayo. Le yinqubo engeyona eyemvelo.
Isimo se-ekuseni hypoglycemia singadalwa ukuthi umuntu:
- walala ngesisu esingenalutho;
- Ngidle ama-carbohydrate amaningi ngobusuku bangaphambilini;
- ntambama kuvakashelwa izigaba zemidlalo (ukuzivocavoca umzimba kunciphisa ushukela we-glucose);
- ukuzila ukudla ngesikhathi sasemini nokudla kakhulu kusihlwa;
- unesifo sikashukela futhi uphatha umthamo onganele we-insulin ntambama;
- zisebenzise kabi izidakamizwa.
Uma ukwehla okungekhona okungokwemvelo ku-serum glucose kubhekwa, lokhu kusho ukuthi kudingeka ucabangele kabusha indlela ophila ngayo, bonana nodokotela futhi uhlolwe.
Yini ubungozi be-hypoglycemia yasekuseni?
I-Hypoglycemia yisimo lapho umuntu enoshukela we-serum ngaphansi kwenqubo emisiwe. Kubonakaliswa ubuthakathaka, ukudideka, isiyezi, ukukhathazeka, ikhanda, ukujuluka okubandayo nokuthuthumela, ukwesaba.
I-Hypoglycemia iyingozi ngoba ingaholela ekhefeni nasekufeni.
I-Morning hypoglycemic syndrome iyimpawu ejwayelekile ye-insulinoma (isimila se-pancreatic). Lesi sifo sizibonakalisa ekukhiqizeni okungalawulwa kwe-insulin ngamaseli weLangerhans.
Emzimbeni ophilile, kanye nokudla okuncishisiwe kwe-glucose, ukukhiqizwa kwe-insulin hormone kuyancipha. Lapho kukhona isimila, le ndlela yephulwa, zonke izimo zokuhlaselwa kwe-hypoglycemic ziyadalwa. Ukuhlushwa kwe-glucose ngesikhathi se-insulinoma kungaphansi kwe-2,5 mmol / L.
Ukuxilonga ukwephulwa
Ukuqonda ukuthi yisiphi isizathu sokuphulwa kwezinqubo ze-glycogeneis, glycogenolysis, kuyadingeka ukuthi uyohlolwa. Ukuze wenze lokhu, kufanele uthintane nodokotela oselulama emtholampilo.
Udokotela uzobhalela ukuthi kudluliselwe ekuhlolweni kwegazi ngomthwalo we-carbohydrate.
Umongo wenqubo ukuthi isiguli sithatha ingxenye ye-plasma esiswini esingenalutho, ngemuva kwemizuzu engama-60 namahora amabili ngemuva kokuthatha isixazululo se-glucose. Lokhu kukuvumela ukuthi ulandelele ushintsho ekugxambeni kwe-glycogen egazini.
Umnikelo weSerum nawo uyanconywa ukuthola izilinganiso zikashukela usuku lonke. I-glycosylated hemoglobin iyahlolwa. Ukuthola umphumela onokwethenjelwa, ngosuku olwandulela ucwaningo, udinga ukudla kwakusihlwa ngaphambi kwehora lesithupha kusihlwa, ungaphuzi iziphuzo eziqukethe utshwala, ungasweli uswidi, isinkwa, futhi ugweme ukucindezela.Ungabi novalo ngaphambi kokunikela ngegazi. Ukuqhekeka kungakhuphula ukugcwala kweglucose.
Ukuxilonga iMorning Dawn Syndrome, uSomoji ulinganisa ushukela wegazi kusuka 2 kuya ku-3 ekuseni nangemva kokuvuka.
Ukubona isimo se-pancreas (ukusebenza kwayo, ukuba khona kwesimila) nezinso, kwenziwa i-ultrasound scan.
Uma kukhona i-neoplasm, khona-ke inqubo ye-MRI, i-biopsy, kanye nokuhlaziywa kwe-cytological yamaseli e-tumor kunqunywe.
Yini okufanele uyenze uma ushukela egxilile esiswini esingenalutho mkhulu ukwedlula emva kokudla?
Uma ukugcwala ushukela esiswini esingenalutho kuphezulu kunasemuva kokudla, udinga ukuya esikhathini nodokotela. Kubalulekile ukukhomba nokulungisa inkinga ngokushesha okukhulu. Mhlawumbe, ukubonisana okwengeziwe kwe-endocrinologist, i-oncologist, udokotela ohlinzayo, umondli wezempilo kuyadingeka.
Umuntu kufanele acabangele kabusha indlela yakhe yokuphila, ngaphandle kwezici ezidala ukwanda koshukela ekuseni. Kunconyelwa ukudla ukudla kwakusihlwa okunenkomba ye-glycemic ephansi futhi kugaywe isikhathi eside. Kuyasiza ukucebisa ukudla ngezithelo nemifino.
Umcimbi wokuvuka kokusa kushukela sikashukela uphathwa kanjena:
- ngaphandle kokusebenzisa inani elikhulu lama-carbohydrate ngesikhathi sokulala;
- khetha umthamo ophelele we-insulin (isidakamizwa esinciphisa ushukela);
- shintsha isikhathi sokuphathwa kwe-hormone ye-insulin yakusihlwa.
Umphumela weSomoji ezigulini ezinesifo sikashukela uqedwa ngale ndlela:
- yenza ukudla okune-carbohydrate amahora ambalwa ngaphambi kokulala;
- ukunciphisa umthamo we-ejenti ye-hypoglycemic yesenzo eside kusihlwa.
Uma lokhu kungasizi ukuqinisa isimo, udokotela ukhetha ukwelashwa ngezidakamizwa.
Amavidiyo ahlobene
Kungani ushukela wegazi osheshayo uphakeme kunangemva kokudla? Impendulo ekuvidiyo:
I-serum ushukela okuhlushwa ihlala ishintsha. Emahoreni ekuseni kubantu abanempilo, amanani ancishisiwe ayabonakala.
Ngokuphulwa, i-hyperglycemia iyavela, enyamalala ngemuva kokudla kwasekuseni. Izizathu zalokhu ziningi: kusuka ekungondondweni kahle nasekusetshenzisweni kabi kwamanyikwe. Kubalulekile ukukhomba nokuxazulula inkinga ngesikhathi.
